Inspection on 07/02/06 for 55 Amis Avenue

This inspection was carried out on 7th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

55 Amis Avenue 30/07/09

55 Amis Avenue 22/06/07

55 Amis Avenue 15/09/05

55 Amis Avenue 23/09/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 55 Amis Avenue 55 Amis Avenue New Haw Addlestone Surrey KT15 3ET Lead Inspector Marianne Barham Unannounced Inspection 7 February 11:30a th 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 55 Amis Avenue Address 55 Amis Avenue New Haw Addlestone Surrey KT15 3ET 01932 571666 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Welmede Housing Association Ltd To Be Confirmed Care Home 6 Category(ies) of Dementia (2), Learning disability (4) registration, with number of places 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be 30-65 years. The person to be accommodated in room 6 must be fully ambulant. Date of last inspection 15th September 2005 Brief Description of the Service: 55 Amis Avenue is a large detached single storey building located in a residential area of Woodham, close to the town of Addlestone. The home is in a central location with shops and other amenities only a short walk away. The home is owned and managed by Welmede Housing Association and provides accommodation and care for up to six adults with learning disabilities, two of whom may also have dementia. The home has recently been refurbished and decorated to a high standard and has six single occupancy bedrooms, all of which have a hand washbasin. No rooms have en-suite facilities. Communal areas of the home consist of a spacious bathroom with an adapted bath and also a shower room, adapted to accommodate those with physical disabilities, two toilets and a large, well-equipped, homely kitchen. There is a good size lounge leading to a small conservatory area, which in turn leads to the small, wheelchair accessible garden. There is parking for two to three cars to the front of the building. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out at 11.30am by Marianne Barham, lead inspector for the service. The inspection was undertaken over a period of four hours and ten minutes and was the second inspection in the Commission for Social Care Inspection (CSCI) year April 2005 to March 2006. The manager of the home, Ms Rachel Flint was present, records relating to the care of service users and management of the home were examined and a total of three staff members and two service users were spoken with during this inspection. 55 Amis Avenue had been unoccupied prior to 7th January 2006 when the current group of five service users moved from another premises owned by Welmede Housing Association that was no longer suitable to their needs. All staff members and the manager moved with them. The home has undergone extensive refurbishment and decoration prior to this move. What the service does well: The home is pleasantly decorated, comfortably furnished and is suitable for its purpose. A great deal of planning and attention to detail has been undertaken by the organisation, the manager and staff team to ensure that the premises meets the needs of service users and all are commended for the commitment shown in achieving this. The assessment of service users’ needs is carried out very well and really covers all aspects of the person’s daily life. The care plans in place are detailed and give care staff clear information about service users preferences and needs and how to meet them. The home has a well-trained, competent staff team; most of who have worked with the service users for a number of years and therefore knows them well. Members of staff spoken with said they enjoy working in the home and feel the new premises is much more suited to the service users needs. The service users spoken with said they liked the home and were happy to show the inspector their new bedrooms. Both said they were pleased with their bedrooms and said they chose how they were decorated and furnished. Those service users unable to express their views appeared to be comfortable and relaxed in the home and positive interactions were observed between members of staff and the service users throughout this inspection. The manager of the home has many years experience of working with people with learning disabilities and of managing care homes and this is reflected in 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 6 the way in which the service users and staff team have settled so quickly into the new environment. Service users take part in a wide range of meaningful activities, both in day centres and in the local community. Those spoken with said they enjoyed the activities and were able to choose how they spend their time. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Service users’ individual needs and aspirations are assessed by the home. EVIDENCE: The home carries out detailed, comprehensive assessment of service users that take into account all aspects of their physical, emotional and social needs. The assessments carried out are of a high standard and demonstrate the involvement of the service users at every stage. Assessments were examined for four service users. These contained clear information about the individual’s needs and there was evidence of regular review being undertaken. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Service users’ assessed and changing needs are reflected in their individual ‘Life Plans, they are supported to make decisions about their lives and to take risks as part of an independent lifestyle. EVIDENCE: Each service user has an individual plan of care generated from the assessment process as detailed earlier in this report. These are known as ‘Life Plans’ and contain detailed information for care staff to follow in order to meet the assessed needs. The service user, or a representative signs the care plans and records of review meetings are maintained. Progress records are kept for each service user as part of the review system and these are completed regularly. The ‘Life Plans’ detail the service users’ individual preferences in all aspects of daily living and there is evidence to show their involvement in the planning of day-to-day activities, employment and leisure pursuits. Each service user has risk assessments carried out for a variety of daily living activities and these have clear guidance in place in order to minimise risks to 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 10 them. The risk assessments are undertaken in consultation with the service user and specialist advice is sought as necessary. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Service users take part in activities that are appropriate to their age and abilities, they are part of the local community and their rights and responsibilities are recognised by the home. Service users receive a balanced, healthy diet that takes account of their individual needs and preferences. EVIDENCE: Each service user has timetable of activities that reflects their individual needs, abilities and preferences as detailed in the assessment and ‘Life Planning’ process. There is evidence of the service user’s involvement in planning daily activities in the review meeting records. The service users moved into the home on 7th January 2006 and have already become part of the local community, with the home making good use of facilities such as shops, cafes and pubs in the town. Service users spoken with said they liked living in the home and taking part in the various activities provided. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 12 The care staff were seen to treat service users with respect throughout this inspection, for example, they were courteous in their interactions with them and asked permission to enter their bedrooms. Service users are encouraged and supported to make choices from what time to get or go to bed to how they spend their time. The home has a large, well-equipped kitchen that is pleasantly decorated and very clean. Records are kept of temperatures for fridge, freezer and foods cooked and all members of staff have received food hygiene training. The menu is decided daily and a record made as the meals are served, ensuring accurate records of foods consumed are kept. Meals are taken in the dining area of the lounge, with all service users and staff members sitting together at the large dining table. Service users spoken with said they liked the food in the home and could choose what they had to eat. Those not able to give their views appeared to enjoy the lunch provided during this inspection. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Service users’ physical and emotional health needs are met and they receive personal care in a way that reflects their preferences and needs. The policies and practices for dealing with medicines in the home protects service users. EVIDENCE: All service users are registered with a local GP and access specialist healthcare professionals through the GP practice. North Surrey Primary Care Trust provides continence advice, Physiotherapy and Occupational therapy. Chiropody is provided through Chertsey Health Centre every six weeks. Health needs assessments are carried out for all service users and their individual preferences and needs in the provision of personal care are documented in their ‘Life Plans’. The home has a policy and procedure in place for dealing with medicines that is in line with the guidance from the Royal Pharmaceutical Society. Medication is supplied by a local pharmacy that carries out audits and also provides accredited training to the care staff. The medication administration records were examined. These were maintained accurately with no gaps or errors. The medication is stored appropriately and 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 14 securely. A list of staff trained to administer medication is kept along with sample signatures of those staff. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Service users’ views are listened to and acted upon by the home and they are protected from abuse. EVIDENCE: The home has a policy and procedure in place for complaints and all members of staff are made aware of this at induction into the home. An accessible version of the complaints procedure has been placed in the service users guide and all service users have been given a copy. A record book is maintained for complaints, however no complaints have been made against the service. Members of staff spoken with were familiar with the complaints procedure and one service user spoken with said they would speak to the manager if they were unhappy about anything. All members of staff have received training in adult protection procedures and those spoken with demonstrated a good understanding of different types of abuse and their responsibilities in this area. The home has policies and procedures in place for adult protection and also a whistle blowing policy that all members of staff are made aware of at induction and sign to show they have read. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30 Service users live in a clean, safe and comfortable environment and their bedrooms reflect their individual needs, preferences and lifestyle. EVIDENCE: The home is very clean, comfortably furnished and immaculately presented throughout. It has recently been refurbished and redecorated prior to the service users moving in and this has been done to a high standard. It was pleasing to see that Welmede Housing Association listened to the views of the manager and specialist healthcare professionals when carrying out the refurbishment as this has resulted in the home really meeting the needs of the people living in it. A great deal of thought and attention to detail has gone into the decoration and layout of the service users bedrooms in order to help them settle into them more easily and those able to express their views said that they are happy in their new home and liked their bedrooms. All bedrooms reflect the individual’s tastes and interests. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 A competent staff team, appropriately trained to meet their individual and joint needs, supports Service users. The home’s recruitment policies and practices generally protect service users, however a CRB check needs to be obtained for one member of staff. EVIDENCE: The home has a programme of planned training in place offering a good range of mandatory and developmental courses. The training is mostly provided by, the North Surrey Primary Care Trust, with some training provided by Welmede Housing Association. Training needs are identified through the appraisal process and individual training records are kept for all members of staff. The majority of staff have an NVQ qualification in care, with those remaining planned to be enrolled in the near future. The recruitment records for several members of staff were examined. These were found to kept in good order and contained all necessary information and checks required for the protection of the service users, with exception of one file that did not contain evidence of a Criminal records Bureau check having been carried out. A requirement has been made to address this. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Service users benefit from a well run home, their views are listened to and acted upon and their health, welfare and safety is protected and promoted. EVIDENCE: The home manager has many years experience of working with people with learning disabilities and of managing residential homes. She has worked with the service users for a number of years and was registered with CSCI as the manager of their previous home. Members of staff spoken with said that the manager is very supportive and approachable and that the home is run well. Service users spoken with said they liked the manager and she was nice. The manager’s relationship with both staff members and service users appears to be relaxed and open. The home has house meetings that are attended by the care staff and the service users, with any issues raised by, or relating to service users recorded. Welmede Housing Association recently introduced a service user customer 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 19 satisfaction questionnaire that has been circulated to service users, their families and involved professionals. Monthly quality assurance audits are carried out by, senior managers and copies of these are sent to the Commission. Welmede also hold residents and advocates meetings for all service users to air their views and service users also attend the in house training sessions and are presented with certificates of training. The home has policies and procedures in place for health and safety that have recently been updated and all members of staff sign as read. Health and safety audits are carried out quarterly and there is a programme of routine maintenance and repairs in place. Fire equipment, alarms etc are checked quarterly with alarm tests weekly and evacuations monthly. All members of staff have received training on health and safety issues at induction and are updated annually. Workplace risk assessments have been carried out and are reviewed regularly. 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 34 Regulation 19 (1) (a) Requirement Evidence must be held in the home of a Criminal Records Bureau check having been undertaken for all members of staff. Timescale for action 14/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 55 Amis Avenue DS0000061399.V285038.R02.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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